metaEvidence - study list


	Study	study type RCT OBS RCT + OBS	Pathology	T1	T0	Patients	sample sizes	ROB	Results
mNSCLC - L1 - all population metastatic/advanced NSCLC (mNSCLC) - 1st line (L1) mNSCLC - L1 - all population
versus placebo plus SoC
	sintillimab plus SoC
	ORIENT-11, 2020 J Thorac Oncol 2020 Aug 8;S1556-0864(20)30595-5. NCT03607539	RCT	mNSCLC - L1 - all population	Sintilimab plus pemetrexed plus platine	placebo plus pemetrexed plus platine	patients with confirmed stage IIIB to IV nonsquamous NSCLC who had no previous systemic treatment for advanced and metastatic disease.	266 / 131	low	conclusif	suggested 39 % decrease in deaths (OS) demonstrated 52 % decrease in progression or deaths (PFS) (PE)
versus Standard of Care (SoC)
	cemiplimab
	EMPOWER lung1 (all population), 2021 Lancet 2021 Feb 13;397(10274):592-604. NCT03088540	RCT	mNSCLC - L1 - all population	cemiplimab	ICC	patients with confirmed stage IIIB or IIICor stage IV squamous or non-squamous non-small-celllung cancer	356 / 354	some concern	conclusif	demonstrated 32 % decrease in deaths (OS) (PE) demonstrated 41 % decrease in progression or deaths (PFS) (PE) demonstrated 1.2-fold increase in objective responses (ORR) (PE)
	durvalumab alone
	MYSTIC (D ; all population), 2020 JAMA Oncol 2020 May 1;6(5):661-674. NCT02453282	RCT	mNSCLC - L1 - all population	durvalumab	platinum-based doublet chemotherapy	first-line treatment of patients locally advanced or metastatic NSCLC with PDL1 TC >=25%	374 / 372	some concern	inconclusive	no statistically significant result
mNSCLC - L1 - PDL1 negative metastatic/advanced NSCLC (mNSCLC) - 1st line (L1) mNSCLC - L1 - PDL1 negative
versus pemetrexed plus platin
	nivolumab plus SoC
	CheckMate 227 (NC vs C ; PDL1<1%), 2018 N Engl J Med 2018 May 31;378(22):2093-2104. Eur J Cancer 2019 Jul;116:137-147. N Engl J Med 2019 Nov 21;381(21):2020-2031. Oncology (Williston Park) 2020 Jul 15;34(7):254. J Thorac Oncol 2021 Apr;16(4):665-676. NCT02477826	RCT	mNSCLC - L1 - PDL1 negative	nivolumab plus pemetrexed plus platine	platinum based chemotherapy (pemetrexed plus platine)	patients with histologically confirmed squamous or nonsquamous stage IV or recurrent NSCLC who had received no previous systemic anticancer therapy and TMB > 10mut/Mb	177 / 186	some concern	conclusif	demonstrated 27 % decrease in progression or deaths (PFS) (PE)
mNSCLC - L1 - PDL1 positive metastatic/advanced NSCLC (mNSCLC) - 1st line (L1) mNSCLC - L1 - PDL1 positive
versus Standard of Care (SoC)
	atezolizumab alone
	IMpower-110 (TC3 or IC3), 2020 NCT02409342	RCT	mNSCLC - L1 - PDL1 positive	atezolizumab	platinum chemotherapy	PD-L1–selected patients (positive for PD-L1 on the SP142 assay) with EGFR and ALK wild-type metastatic NSCLC who had not previously received chemotherapy. (TC 3)	107 / 98	some concern	conclusif	demonstrated 41 % decrease in deaths (OS) (PE) suggested 41 % decrease in PFS (extension) suggested 37 % decrease in progression or deaths (PFS)
	IMpower-110 (TC2/3 or IC2/3), 2020 NCT02409342	RCT	mNSCLC - L1 - PDL1 positive	atezolizumab	platinium chemotherapy	PD-L1–selected patients (positive for PD-L1 on the SP142 assay) with EGFR and ALK wild-type metastatic NSCLC who had not previously received chemotherapy. (TC2/3)	166 / 162	some concern	suggested	suggested 28 % decrease in deaths (OS) (PE) suggested 36 % decrease in PFS (extension) suggested 33 % decrease in progression or deaths (PFS)
	IMpower-110 (TC1/2/3 or IC1/2/3), 2020 J Thorac Oncol . 2021 Jul 12;S1556-0864(21)02286-3. NCT02409342	RCT	mNSCLC - L1 - PDL1 positive	atezolizumab	platinium chemotherapy	PD-L1–selected patients (positive for PD-L1 on the SP142 assay) with EGFR and ALK wild-type metastatic NSCLC who had not previously received chemotherapy. (TC 1/2/3)	277 / 277	some concern	inconclusive	inconclusive 17 % decrease in deaths (OS) (PE) suggested 28 % decrease in PFS (extension) suggested 23 % decrease in progression or deaths (PFS)
	cemiplimab
	EMPOWER lung1 (PDL1>50%), 2021 Lancet 2021 Feb 13;397(10274):592-604. NCT03088540	RCT	mNSCLC - L1 - PDL1 positive	cemiplimab	ICC	patients with confirmed stage IIIB or IIICor stage IV squamous or non-squamous non-small-celllung cancer with PD-L1 expressed in at least 50% oftumour cells	283 / 280	some concern	suggested	suggested 43 % decrease in deaths (OS) (PE) suggested 46 % decrease in progression or deaths (PFS) (PE)
	durvalumab alone
	MYSTIC (D ; PDL1>25%), 2020 JAMA Oncol 2020 May 1;6(5):661-674. NCT02453282	RCT	mNSCLC - L1 - PDL1 positive	durvalumab	platinum-based doublet chemotherapy	first-line treatment of patients locally advanced or metastatic NSCLC with PDL1 TC >=25%	163 / 162	some concern	inconclusive	inconclusive 24 % decrease in deaths (OS) (PE)
	nivolumab alone
	CheckMate 026 (PDL1>1%), 2016 N Engl J Med 2017 Jun 22;376(25):2415-2426. NCT02041533	RCT	mNSCLC - L1 - PDL1 positive	Nivolumab	platinium doublet chemotherapy	patients previously untreated had histologically confirmed squamous-cell or nonsquamous stage IV or recurrent NSCLC with PD-L1 >1%	271 / 270	some concern	inconclusive	no statistically significant result
	CheckMate 026 (PDL1>5%), 2016 N Engl J Med 2017 Jun 22;376(25):2415-2426. NCT02041533	RCT	mNSCLC - L1 - PDL1 positive	Nivolumab	platinum-based chemotherapy	patients previously untreated had histologically confirmed squamous-cell or nonsquamous stage IV or recurrent NSCLC PD-L1 at >1%	211 / 212	some concern	inconclusive	inconclusive 15 % increase in progression or deaths (PFS) (PE)
	pembrolizumab alone
	KEYNOTE-042 (PDL1>50%), 2019 Lancet 2019;393:1819-1830 Immunotherapy 2019; 11:1463-1478 Lung Cancer 2019; 135:188-195 Int J Cancer 2020 Nov 24. NCT02220894	RCT	mNSCLC - L1 - PDL1 positive	pembrolizumab	platinium based chemotherapy	previously untreated, locally advanced or metastatic non-small-cell lung cancer with a PD-L1 TPS of 50% or greater	299 / 300	some concern	conclusif	demonstrated 31 % decrease in deaths (OS) (PE) suggested 2 % decrease in deaths (OS) (extension) suggested 19 % decrease in progression or deaths (PFS)
	KEYNOTE-042 (PDL1>20%), 2019 Lancet 2019;393:1819-1830 Immunotherapy 2019; 11:1463-1478 Lung Cancer 2019; 135:188-195 NCT02220894	RCT	mNSCLC - L1 - PDL1 positive	pembrolizumab	platinium based chemotherapy	previously untreated, locally advanced or metastatic non-small-cell lung cancer with a PD-L1 TPS of 20% or greater	413 / 405	some concern	conclusif	demonstrated 23 % decrease in deaths (OS) (PE) suggested 25 % decrease in deaths (OS) (extension)
	KEYNOTE-042 (PDL1>1%), 2019 Lancet 2019;393:1819-1830 Immunotherapy 2019; 11:1463-1478 Lung Cancer 2019; 135:188-195 NCT02220894	RCT	mNSCLC - L1 - PDL1 positive	pembrolizumab	platinium based chemotherapy	previously untreated, locally advanced or metastatic non-small-cell lung cancer with a PD-L1 TPS of 1% or greater	637 / 637	some concern	conclusif	demonstrated 19 % decrease in deaths (OS) (PE) suggested 20 % decrease in deaths (OS) (extension)
	KEYNOTE-024 (PDL1>50%), 2016 N Engl J Med 2016;375:1823-1833 Lancet Oncol. 2017; 18:1600-1609 J. Clin. Oncol. 2019; 37:537-546 Lung Cancer 2019; 135:188-195 Cancer Sci 2020 Sep 14. J Clin Oncol 2021 Apr 19;JCO2100174. NCT02142738	RCT	mNSCLC - L1 - PDL1 positive	Pembrolizumab	ICC platinum-based chemotherapies regimens	patients who had previously untreated advanced stage IV NSCLC with PD-L1 expression on at least 50% of tumor cells	154 / 151	some concern	conclusif	demonstrated 40 % decrease in deaths (OS) (PE) demonstrated 50 % decrease in progression or deaths (PFS) (PE) suggested 38 % decrease in deaths (OS) (extension) suggested 50 % decrease in PFS (extension)
non squamous - mNSCLC - L1 - all population metastatic/advanced NSCLC (mNSCLC) - 1st line (L1) non squamous cell - mNSCLC - L1 non squamous - mNSCLC - L1 - all population
versus atezolizumab plus carboplatin plus nab-paclitaxel
	atezolizumab plus carboplatin plus nab-paclitaxel
	IMpower-130 (all population), 2019 Lancet Oncol. 2019; 20:924-937 NCT02367781	RCT	non squamous - mNSCLC - L1 - all population	atezolizumab plus carboplatin plus nab-paclitaxel (ACnp)	carboplatine plus nab-paclitaxel (CnP)	first-line therapy for patients with stage IV non-squamous nonsmall- cell lung cancer and no ALK or EGFR mutations who have not previously received chemotherapy	483 / 240	some concern	conclusif	demonstrated 20 % decrease in deaths (OS) (PE) demonstrated 35 % decrease in progression or deaths (PFS) (PE)
versus bevacizumab plus carboplatin and paclitaxel
	atezolizumab plus bevacizumab plus carboplatin plus paclitaxel
	IMpower-150 (ABPC vs BPC ; all population) EXPLORATORY, 2018 N. Engl. J. Med. 2018; 378:2288-2301 Lancet Respir Med 2019; 7:387-401 Cancers Br J Cancer. 2022 Jan;126(1):42-47 NCT02366143	RCT	non squamous - mNSCLC - L1 - all population	atezolizumab and bevacizumab, carboplatin plus paclitaxel (ABCP)	bevacizumab plus carboplatin plus paclitaxel (BCP)	patients with stage IV or recurrent metastatic nonsquamous NSCLC who had not previously received chemotherapy.	400 / 400	some concern	inconclusive	suggested 24 % decrease in deaths (OS) suggested 39 % decrease in progression or deaths (PFS)
	atezolizumab plus carboplatin plus paclitaxel
	IMpower-150 (ACP vs BCP ; all population, EXPLORATORY), 2018 N. Engl. J. Med. 2018; 378:2288-2301 Lancet Respir Med 2019; 7:387-401 NCT02366143	RCT	non squamous - mNSCLC - L1 - all population	atezolizumab plus carboplatin plus paclitaxel (ACP)	bevacizumab and caroplatin plus paclitaxel (BCP)	patients with stage IV or recurrent metastatic nonsquamous NSCLC who had not previously received chemotherapy.	402 / 400	some concern	inconclusive	no statistically significant result
non squamous - mNSCLC - L1 - Wild Type (WT) metastatic/advanced NSCLC (mNSCLC) - 1st line (L1) non squamous cell - mNSCLC - L1 non squamous - mNSCLC - L1 - Wild Type (WT)
versus bevacizumab plus carboplatin and paclitaxel
	atezolizumab plus bevacizumab plus carboplatin plus paclitaxel
	IMpower-150 (ABCP vs BPC WT), 2018 N. Engl. J. Med. 2018; 378:2288-2301 Lancet Respir Med 2019; 7:387-401 J Thorac Oncol. 2021 Jul 24 J Thorac Oncol 2022; 17:309-323-. NCT02366143	RCT	non squamous - mNSCLC - L1 - Wild Type (WT)	atezolizumab plus bevacizumab plus carboplatin plus paclitaxel (ABCP)	bevacizumab and caroplatin plus paclitaxel (BCP)	patients with stage IV or recurrent metastatic nonsquamous NSCLC who had not previously received chemotherapy.	356 / 336	some concern	conclusif	demonstrated 22 % decrease in deaths (OS) (PE) demonstrated 38 % decrease in progression or deaths (PFS) (PE)
	IMpower-150 (ABCP vs BPC ; WT-Teff high), 2018 N. Engl. J. Med. 2018; 378:2288-2301 Lancet Respir Med 2019; 7:387-401 NCT02366143	RCT	non squamous - mNSCLC - L1 - Wild Type (WT)	atezolizumab and bevacizumab, carboplatin plus paclitaxel (ABCP)	bevacizumab plus carboplatin plus paclitaxel (BCP)	patients with stage IV or recurrent metastatic nonsquamous NSCLC who had not previously received chemotherapy.	155 / 129	some concern	conclusif	demonstrated 49 % decrease in progression or deaths (PFS) (PE)
versus carboplatin plus nab-paclitaxel
	atezolizumab plus carboplatin plus nab-paclitaxel
	IMpower-130 (WT), 2019 Lancet Oncol. 2019; 20:924-937 NCT02367781	RCT	non squamous - mNSCLC - L1 - Wild Type (WT)	atezolizumab (ACnP) plus carboplatine plus nab-paclitaxel	carboplatine plus nab-paclitaxel	first-line therapy for patients with stage IV non-squamous nonsmall- cell lung cancer who have not previously received chemotherapy. (EGFRwt and ALKwt)	451 / 228	some concern	conclusif	demonstrated 21 % decrease in deaths (OS) (PE) demonstrated 36 % decrease in progression or deaths (PFS) (PE) statistically significant 1.4-fold increase in DOR
versus pemetrexed plus platin
	atezolizumab plus pemetrexed and platin
	IMpower-132 (WT) unpublished NCT02657434	RCT	non squamous - mNSCLC - L1 - Wild Type (WT)	Atezolizumab (induction and maintenance) plus pemetrexed plus platine	pemetrexed plus platine	Chemotherapy-naive patients with Stage IV non-squamous NSCLC without EGFR or ALK genetic alteration	292 / 286	NA	conclusif	inconclusive 19 % decrease in deaths (OS) (PE) demonstrated 40 % decrease in progression or deaths (PFS) (PE)
	pembrolizumab and pemetrexed plus platin
	KEYNOTE-021, 2016 Lancet Oncol 2016;17:1497-1508 J Thorac Oncol 2019 Jan;14(1):124-129. J Thorac Oncol 2019 Mar;14(3):553-559. J Thorac Oncol 2020 Sep 28;S1556-0864(20)30761-9. NCT02039674	RCT	non squamous - mNSCLC - L1 - Wild Type (WT)	pembrolizumab with carboplatin plus pemetrexed	carboplatin plus pemetrexed	patients with stage IIIB/IV, chemotherapy-naive, nonsquamous non-small-cell lung cancer	60 / 63	some concern	conclusif	demonstrated 47 % decrease in progression or deaths (PFS) (PE) suggested 46 % decrease in PFS (extension) demonstrated 2.1-fold increase in objective responses (ORR) (PE)
versus placebo plus SoC
	pembrolizumab plus SoC
	KEYNOTE-189, 2018 N Engl J Med 2018;378:2078-2092 Lancet Oncol. 2020; 21:387-397 J Med Econ 2018; 21:1191-1205 J Clin Oncol 2020; 38:1505-1517 Lung Cancer 2021 Feb 19;155:53-60. Ann Oncol 2021 Apr 21;S0923-7534(21)01146-7. NCT02578680	RCT	non squamous - mNSCLC - L1 - Wild Type (WT)	pembrolizumab plus pemetrexed plus platine	placebo plus pemetrexed plus platine	participants with advanced or metastatic nonsquamous non-small cell lung cancer who have not previously received systemic therapy for advanced disease	410 / 206	low	conclusif	demonstrated 51 % decrease in deaths (OS) (PE) demonstrated 48 % decrease in progression or deaths (PFS) (PE) suggested 44 % decrease in deaths (OS) (extension) suggested 52 % decrease in PFS (extension) more...
squamous - mNSCLC - L1 - all population metastatic/advanced NSCLC (mNSCLC) - 1st line (L1) squamous cell - mNSCLC - L1 squamous - mNSCLC - L1 - all population
versus carboplatin plus nab-paclitaxel
	atezolizumab plus carboplatin plus nab-paclitaxel
	IMpower-131 (ACnP), 2020 J Thorac Oncol 2020 Aug;15(8):1351-1360. NCT02367794	RCT	squamous - mNSCLC - L1 - all population	atezolizumab plus carboplatine plus nab-paclitaxel(ACnP)	carboplatine plus nab-paclitaxel (CnP)	chemotherapy-naive participants with Stage IV squamous NSCLC	343 / 340	some concern	conclusif	inconclusive 12 % decrease in deaths (OS) (PE) demonstrated 29 % decrease in progression or deaths (PFS) (PE) statistically significant 1.1-fold increase in DOR
versus placebo plus SoC
	pembrolizumab plus SoC
	KEYNOTE-407, 2018 N Engl J Med 2018;379:2040-2051 J. Clin. Oncol. 2020; 38:271-280 NCT02775435	RCT	squamous - mNSCLC - L1 - all population	pembrolizumab plus platine and (nab)paclitaxel	placebo plus platine and (nab)paclitaxel	patients with confirmed stage IV squamous NSCLC who had received no previous systemic therapy for metastatic disease	278 / 281	low	conclusif	demonstrated 36 % decrease in deaths (OS) (PE) demonstrated 44 % decrease in progression or deaths (PFS) (PE)

mNSCLC - L1 - all population metastatic/advanced NSCLC (mNSCLC) - 1st line (L1) mNSCLC - L1 - all population

mNSCLC - L1 - PDL1 negative metastatic/advanced NSCLC (mNSCLC) - 1st line (L1) mNSCLC - L1 - PDL1 negative

mNSCLC - L1 - PDL1 positive metastatic/advanced NSCLC (mNSCLC) - 1st line (L1) mNSCLC - L1 - PDL1 positive

non squamous - mNSCLC - L1 - all population metastatic/advanced NSCLC (mNSCLC) - 1st line (L1) non squamous cell - mNSCLC - L1 non squamous - mNSCLC - L1 - all population

non squamous - mNSCLC - L1 - Wild Type (WT) metastatic/advanced NSCLC (mNSCLC) - 1st line (L1) non squamous cell - mNSCLC - L1 non squamous - mNSCLC - L1 - Wild Type (WT)

squamous - mNSCLC - L1 - all population metastatic/advanced NSCLC (mNSCLC) - 1st line (L1) squamous cell - mNSCLC - L1 squamous - mNSCLC - L1 - all population